Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $3,000.00 / $3,000.00	Professional		$3,000.00	$3,000.00	$3,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.23 / $310.23 / $423.88	Professional		$310.23	$310.23	$423.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $49.46 / $80.15 / $193.39	Facility		$49.46	$80.15	$193.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.43 / $79.09 / $193.39	Facility		$53.43	$79.09	$193.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $70.00	Professional		$50.00	$65.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $49.46 / $79.23 / $193.39	Facility		$49.46	$79.23	$193.39